Cited by 181Mitochondrial Function and PathologyGenetics, Aging, and Longevity in Model OrganismsAutophagy in Disease and Therapy

Role of the mitochondrial DNA replication machinery in mitochondrial DNA mutagenesis, aging and age-related diseases

Open access
DeBalsi, Karen L., Hoff, Kirsten E., Copeland, William C.·2017·Ageing Research Reviews

Abstract

As regulators of bioenergetics in the cell and the primary source of endogenous reactive oxygen species (ROS), dysfunctional mitochondria have been implicated for decades in the process of aging and age-related diseases. Mitochondrial DNA (mtDNA) is replicated and repaired by nuclear-encoded mtDNA polymerase γ (Pol γ) and several other associated proteins, which compose the mtDNA replication machinery. Here, we review evidence that errors caused by this replication machinery and failure to repair these mtDNA errors results in mtDNA mutations. Clonal expansion of mtDNA mutations results in mitochondrial dysfunction, such as decreased electron transport chain (ETC) enzyme activity and impaired cellular respiration. We address the literature that mitochondrial dysfunction, in conjunction with altered mitochondrial dynamics, is a major driving force behind aging and age-related diseases. Additionally, interventions to improve mitochondrial function and attenuate the symptoms of aging are examined.

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Written from the paper’s full text.

TL;DR

This review argues that clonally expanded mtDNA mutations arising from errors by the nuclear-encoded mtDNA replication machinery, rather than ROS-induced damage, are a major driving force behind aging and age-related diseases. It surveys Pol γ, PolG2, Twinkle, TFAM, MGME1, and RNase H1, linking their dysfunction to mtDNA mutagenesis, mitochondrial dysfunction, and diseases such as PEO and Parkinson’s disease.

Key findings

  • mtDNA mutation rates are estimated at 10- to 17-fold higher than nuclear DNA, and over 85% of mutations detected in vivo could be recapitulated in vitro by purified human Pol γ, suggesting spontaneous replication errors account for most base-pair substitutions in mtDNA.
  • The exonuclease-deficient Pol γ mtDNA mutator mouse shows a 3- to 8-fold increase in somatic point mutations, a 2000-fold higher mutation load than wild-type by random capture, and a 90-fold increase in circular mtDNA with large deletions excluding one hotspot; it develops a progeroid phenotype, whereas heterozygous mice have a 500-fold higher mutational burden than age-matched wild-type controls but no progeroid phenotype or reduced lifespan.
  • Disease-associated replication-machinery defects include over 300 POLG mutations; PEO-associated Pol γ mutations R943H and Y955C cause a 99% decrease in polymerase activity, Y955C causes a 45-fold decrease in dNTP binding affinity, and G923D and A957S retain 21% and 23% of wild-type catalytic activity, respectively.
  • Twinkle has 31 dominant and 3 recessive mutations recognized, mostly causing age-related disease; TFAM, MGME1, and RNase H1 defects are also linked to mtDNA depletion, replication stalling, PEO, neurodegeneration, or embryonic lethality in model systems.

Methods

  • Narrative review of the literature on mtDNA replication machinery, mtDNA mutagenesis, aging, and age-related diseases.
  • Synthesizes evidence from in vitro biochemistry, cultured cells, mouse models, Drosophila, C. elegans, and human patient studies.
  • No systematic search strategy, inclusion/exclusion criteria, or meta-analysis is described.

Limitations

  • The paper states that future studies focused on mechanisms of action are needed to effectively delay aging and prevent age-related diseases.
  • The paper states that it remains controversial whether point mutations, deletions, or both drive the progeroid phenotype in mtDNA mutator mice, and that the timing of mtDNA mutations remains debated.
  • Evident from the text: this is a narrative review without systematic methods, and many conclusions rely on animal models or correlative human data rather than uniform causal evidence.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.arr.2016.04.006

Cites

273 of 273 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

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  • Findingcitation

    Preliminary data suggests that mtDNA shifting also occurs in aging skeletal muscle following resistance exercise training.

    “Preliminary data suggests that mtDNA shifting also occurs in aging skeletal muscle following resistance exercise training (Tarnopolsky, 2009).”
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  • Findingnone given

    Deficiency and/or dysfunction in many nuclear-encoded mtDNA replication proteins, including Pol γ, PolG2, Twinkle, TFAM, MGME1 and RNase H1, results in age-related diseases and/or phenotypes both in vitro and in vivo.

    “Here, we showed that deficiency and/or dysfunction in many of the nuclear-encoded mtDNA replication proteins, including Pol γ, PolG2, Twinkle, TFAM, MGME1 and RNase H1, results in age-related diseases and/or phenotypes both in vitro and in vivo.”
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  • Premisecitation

    Pol γ is the only replicative polymerase known to function in mitochondrial DNA replication and repair.

    “Of the 17 human cellular DNA polymerases, polymerase gamma (Pol γ) is the only replicative polymerase known to function in mitochondrial DNA replication and repair (Bebenek and Kunkel, 2004; Ropp and Copeland, 1996; Sweasy et al., 2006).”
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  • Premisecitation

    Accumulations of mtDNA damage in the form of point mutations, deletions and depletions are correlated with aging and age-related diseases as observed in human skeletal muscle, liver, brain, heart, skin fibroblasts and colonic crypt stem cells.

    “Accumulations of mtDNA damage in the form of point mutations, deletions and depletions are correlated with aging and age-related diseases as observed in human skeletal muscle (Bua et al., 2006; Fayet et al., 2002), liver (Yen et al., 1991), brain (Corral-Debrinski et al., 1992a; Corral-Debrinski et al., 1994; Lin et al., 2002), heart (Corral-Debrinski et al., 1992b; Cortopassi and Arnheim, 1990),”
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  • Premisecitation

    Early reports comparing nucleotide substitutions in mtDNA from somatic tissues of different primates revealed a 10-fold higher rate of evolution for mtDNA relative to the nuclear genome.

    “Early reports comparing nucleotide substitutions in mtDNA from somatic tissues of different primates revealed a 10-fold higher rate of evolution for mtDNA relative to the nuclear genome (Brown et al., 1979; Brown et al., 1982), implying a relatively high mutation rate for mtDNA.”
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    Premisecitation

    The catalytic subunit of Pol γ has DNA polymerase, 3′→5′ exonuclease and 5′-dRP lyase activities.

    “The catalytic subunit has DNA polymerase, 3′→5′ exonuclease and 5′-dRP lyase activities (Graziewicz et al., 2006; Kaguni, 2004).”
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    Premisecitation

    Over-expression of genes involved in the maintenance of thiol redox homeostasis or co-overexpression of Cu-Zn superoxide dismutase (Cu-ZnSOD) and catalase increase the lifespan of Drosophila melanogaster by 33-48%.

    “Over-expression of genes involved in the maintenance of thiol redox homeostasis or co-overexpression of Cu-Zn superoxide dismutase (Cu-ZnSOD) and catalase increase the lifespan of Drosophila melanogaster by 33–48% (Orr et al., 2013; Orr and Sohal, 1994).”
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    Premisenone given

    Dysfunctional mitochondria have been implicated for decades in the process of aging and age-related diseases.

    “As regulators of bioenergetics in the cell and the primary source of endogenous reactive oxygen species (ROS), dysfunctional mitochondria have been implicated for decades in the process of aging and age-related diseases.”
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    Interpretationreasoning

    ROS and 8-oxo-dG are not major contributors to mtDNA mutations in WT organisms.

    “Taken together, this suggests that ROS and 8-oxo-dG are not major contributors to mtDNA mutations in WT organisms.”
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    Premisecitation

    When either Cu-ZnSOD or catalase is over-expressed individually, only Cu-ZnSOD extends lifespan up to 48% while catalase has neutral or slightly negative effects.

    “When either Cu-ZnSOD or catalase is over-expressed individually, only Cu-ZnSOD extends lifespan up to 48% while catalase has neutral or slightly negative effects (Sun and Tower, 1999).”
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    Premisecitation

    Mice deficient in either Cu-ZnSOD or MnSOD have widespread oxidative damage and hepatocarcinogenesis or neurodegeneration with reduced lifespan.

    “For example, mice deficient in either Cu-ZnSOD or MnSOD have widespread oxidative damage and hepatocarcinogenesis or neurodegeneration with reduced lifespan (Elchuri et al., 2005; Lebovitz et al., 1996).”
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    Premisecitation

    When human catalase is localized to peroxisomes or targeted to the nucleus in mice, no detectable reduction in mtDNA damage or significant extension of lifespan are observed.

    “Interestingly, when human catalase is localized to peroxisomes or targeted to the nucleus in mice, no detectable reduction in mtDNA damage or significant extension of lifespan are observed (Schriner and Linford, 2006; Schriner et al., 2000).”
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    Premisecitation

    These same mice are protected from mitochondrial dysfunction, decreased energy metabolism and lipid-induced insulin resistance in skeletal muscle.

    “These same mice are also protected from mitochondrial dysfunction, decreased energy metabolism and lipid-induced insulin resistance in skeletal muscle (Lee et al., 2010).”
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    Premisenone given

    Mitochondrial DNA (mtDNA) is replicated and repaired by nuclear-encoded mtDNA polymerase γ (Pol γ) and several other associated proteins, which compose the mtDNA replication machinery.

    “Mitochondrial DNA (mtDNA) is replicated and repaired by nuclear-encoded mtDNA polymerase γ (Pol γ) and several other associated proteins, which compose the mtDNA replication machinery.”
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    Premisenone given

    Human mtDNA encodes 37 mitochondrial genes: 22 transfer RNAs, 2 mitochondrial ribosomal RNAs and 13 protein subunits of ETC complexes, with the exception of Complex II which is entirely nuclear encoded.

    “It encodes 37 mitochondrial genes: 22 transfer RNAs, 2 mitochondrial ribosomal RNAs and 13 proteins subunits of ETC complexes, with the exception of Complex II which is entirely nuclear encoded.”
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    Premisecitation

    ogg1 or ogg1/mth1 knock-out mice have 20-fold higher levels of 8-oxoguanine in mtDNA and half the life expectancy relative to wild-type mice, but no increase in mtDNA mutations.

    “The ogg1 or ogg1/mth1 knock-out mice have 20-fold higher levels of 8-oxoguanine in mtDNA (de Souza-Pinto et al., 2001) and half the life expectancy relative to wild-type (WT) mice (Xie et al., 2004), but no increase in mtDNA mutations (Halsne et al., 2012).”
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    Interpretationreasoning

    Errors caused by the mtDNA replication machinery and failure to repair these mtDNA errors result in mtDNA mutations.

    “Here, we review evidence that errors caused by this replication machinery and failure to repair these mtDNA errors results in mtDNA mutations.”
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    Premisenone given

    The Pol γ holoenzyme is a heterotrimer consisting of a single 140 kDa catalytic subunit and a 55 kDa accessory subunit that forms a dimer.

    “The Pol γ holoenzyme is a heterotrimer consisting of a single 140 kDa catalytic subunit (nuclear encoded by POLG at chromosomal locus 15q25) and a 55 kDa accessory subunit that forms a dimer (nuclear encoded by POLG2 at chromosomal locus 17q24.1).”
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    Premisecitation

    Human mtDNA is maternally inherited and exists as a circular, double-stranded genome organized into 16,569 base pairs.

    “Human mtDNA is maternally inherited (Giles et al., 1980) and exists as a circular, double-stranded genome organized into 16,569 base pairs.”
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    Premisenone given

    Newer theories associate aging and mitochondrial dysfunction with clonally expanded mtDNA mutations caused by replication errors and altered mitochondrial dynamics.

    “Newer theories associate aging and mitochondrial dysfunction with clonally expanded mtDNA mutations caused by replication errors and altered mitochondrial dynamics.”
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    Premisenone given

    Support for the classical Mitochondrial Free Radical Theory of Aging (MFRTA) waned as new evidence linked ROS to both toxicity and signaling pathways associated with longevity.

    “Support for the classical Mitochondrial Free Radical Theory of Aging (MFRTA) waned as new evidence linked ROS to both toxicity and signaling pathways associated with longevity.”
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    Premisecitation

    Kujoth et al. (2005) found no biomarkers of ROS induced damage to DNA, proteins or lipids, but report that tissue dysfunction is the result of apoptosis.

    “Kujoth et al. (2005) found no biomarkers of ROS induced damage to DNA, proteins or lipids, but report that tissue dysfunction is the result of apoptosis.”
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    Interpretationreasoning

    As ROS gradually increase over time, so do the cumulative levels of mtDNA damages, with ROS eventually reaching unstoppable toxic concentrations resulting in further mitochondrial dysfunction and aging.

    “As ROS gradually increase over time, so do the cumulative levels of mtDNA damages, with ROS eventually reaching unstoppable toxic concentrations resulting in further mitochondrial dysfunction and aging.”
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    Premisecitation

    Trifunovic et al. (2004) also describe impaired OXPHOS with a reduction in ETC enzyme activities and decreased ATP production in mtDNA mutator mice.

    “Trifunovic et al. (2004) also describe impaired OXPHOS with a reduction in ETC enzyme activities and decreased ATP production.”
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    Premisecitation

    SOD knock-out mice (Sod2−/−) die within the first 10 days of life, while heterozygous mice (Sod2+/−) are viable with longevity and OXPHOS activity comparable to WT mice.

    “Similarly, while SOD knock-out mice (Sod2−/−) die within the first 10 days of life (Li et al., 1995), heterozygous mice (Sod2+/−) are viable with longevity and OXPHOS activity comparable to WT mice (Mansouri et al., 2006).”
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    Premisecitation

    In mitohormesis, high levels of ROS promote mtDNA damage and the aged phenotype, while low levels of ROS are signaling molecules that regulate stress response pathways and activate cellular processes that enhance lifespan.

    “In this theory, high levels of ROS promote mtDNA damage and the aged phenotype, while low levels of ROS are signaling molecules that regulate stress response pathways and activate cellular processes that enhance lifespan (Hekimi et al., 2011).”
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    Premisecitation

    Mouse embryonic fibroblasts from mtDNA mutator mice produce normal amounts of ROS and demonstrate no increased sensitivity to oxidative stress.

    “In a follow-up study to experimentally address the “vicious” cycle aspect of the MFRTA, mouse embryonic fibroblasts from mtDNA mutator mice are shown to produce normal amounts of ROS and demonstrate no increased sensitivity to oxidative stress (Trifunovic et al., 2005).”
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    Premisecitation

    Inactivation of any of the five isoforms of SOD in Caenorhabditis elegans fails to decrease longevity, in spite of increased oxidative stress, and actually prolongs lifespan.

    “On the other hand, inactivation of any of the five isoforms of SOD in Caenorhabditis elegans fails to decrease longevity, in spite of increased oxidative stress, and actually prolongs lifespan (Van Raamsdonk and Hekimi, 2012).”
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    Premisecitation

    Exonuclease-deficient Pol γ in pancreatic islet cells caused impaired glucose tolerance, diabetes, and increased apoptosis in β-cells.

    “Exonuclease-deficient Pol γ pancreatic islet cells caused impaired glucose tolerance, diabetes, and increased apoptosis in β-cells (Bensch et al., 2007; Bensch et al., 2009).”
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    Premisecitation

    The mtDNA mutator mice appear normal through adolescence but develop a progeroid phenotype including alopecia, graying, kyphosis, osteoporosis, sarcopenia, weight loss, reduced subcutaneous fat, presbycusis, reduced fertility, anemia, cardiac hypertrophy, and a reduced lifespan.

    “The mice appear normal through adolescence but develop a progeroid phenotype including alopecia (hair loss) and graying, kyphosis (curvature of the spine), osteoporosis (loss of bone density), sarcopenia (loss of muscle mass), weight loss, reduced subcutaneous fat, presbycusis (hearing loss), reduced fertility, anemia, cardiac hypertrophy (heart enlargement), and a reduced lifespan.”
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    Premisecitation

    Mice heterozygous for the Pol γ mutation have no progeroid phenotype or reduced lifespan.

    “Unlike the homozygous mtDNA mutator mice, mice heterozygous for the Pol γ mutation have no progeroid phenotype or reduced lifespan (Kujoth et al., 2005; Trifunovic et al., 2004).”
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    Premisecitation

    There are no changes in the levels of antioxidants, protein carbonyls or aconitase enzyme activity in tissues of mtDNA mutator mice.

    “There are also no changes in the levels of antioxidants, protein carbonyls or aconitase enzyme activity in their tissues.”
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    Premisecitation

    WT and heterozygous mice mainly accumulate deletions at one hotspot between two 15-bp direct repeats, whereas homozygous mutant mice accumulate deletions regardless of the presence of direct repeats.

    “WT and heterozygous mice mainly accumulate deletions at one hotspot between two 15-bp direct repeats, whereas homozygous mutant mice accumulate deletions regardless of the presence of direct repeats (Vermulst et al., 2008).”
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    Premisecitation

    Using the random capture method, heterozygous Pol γ mutant mice are found to have a 500-fold higher mutational burden than age-matched wild-type controls and a 30-fold increase over the oldest wild-type animals.

    “However, using an adaptation of the more sensitive “random capture method,” which relies on PCR amplification of single molecules for mutation detection but is not limited by polymerase fidelity, the heterozygous mice are found to have a 500-fold higher mutational burden than age-matched wild-type controls and a 30-fold increase over the oldest wild-type animals (Vermulst et al., 2007).”
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    Premisecitation

    Of the handful of heterozygous mutations identified in POLG2, G451E and R369G are linked to PEO.

    “Of the handful of heterozygous mutations identified in POLG2, G451E (Longley et al., 2006) and R369G (Craig et al., 2012; Young et al., 2011) are linked to PEO.”
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    Premisecitation

    The resulting amino acid substitutions impair the stability of the ETC complexes, resulting in OXPHOS deficiency.

    “The resulting amino acid substitutions impair the stability of the ETC complexes, resulting in OXPHOS deficiency.”
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    Premisecitation

    To date, there are over 300 disease-associated mutations in POLG listed in the Human DNA Polymerase Gamma Mutation Database.

    “To date, there are over 300 disease-associated mutations in POLG listed in the Human DNA Polymerase Gamma Mutation Database (http://tools.niehs.nih.gov/polg).”
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    Premisecitation

    PEO manifests during adulthood and is characterized by bilateral ptosis and progressive weakening of the external eye muscles, proximal muscle weakness and wasting, skeletal muscle with ragged red fibers, impaired ETC enzyme activity, exercise intolerance, sensory ataxic neuropathy and respiratory failure due to muscle fatigue.

    “PEO manifests during adulthood and is characterized by bilateral ptosis and progressive weakening of the external eye muscles, proximal muscle weakness and wasting, skeletal muscle with ragged red fibers, impaired ETC enzyme activity, exercise intolerance, sensory ataxic neuropathy and respiratory failure due to muscle fatigue.”
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    Premisecitation

    In a transgenic mouse model, human Pol γ encoding Y955C targeted to the heart causes cardiomyopathy, loss of mtDNA, increased 8-OHdG and premature death.

    “In a transgenic mouse model, human Pol γ encoding Y955C was targeted to the heart. These mice develop a molecular signature of PEO in the heart with cardiomyopathy, loss of mtDNA, increased 8-OHdG and premature death (Lewis et al., 2007).”
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    Premisecitation

    Most of the mutations in Pol γ are associated with arPEO; they are compound heterozygotes and often occur with common Pol γ mutations, such as A467T, W748S, R309L, G848S, R627W, N846S or T251I in cis with P587L.

    “Most of the mutations in Pol γ are associated with arPEO. They are compound heterozygotes and often occur with common Pol γ mutations, such as A467T (Van Goethem et al., 2003a), W748S (Van Goethem et al., 2004), R309L (Lamantea et al., 2002), G848S (Lamantea et al., 2002), R627W (Van Goethem et al., 2003a), N846S (Van Goethem et al., 2003c) or T251I in cis with P587L (Lamantea et al., 2002; Scud”
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    Premisecitation

    Both R943H and Y955C alter direct interactions with incoming dNTPs resulting in severely decreased processivity and a 99% decrease in polymerase activity.

    “Both R943H and Y955C alter direct interactions with incoming dNTPs resulting in severely decreased processivity and a 99% decrease in polymerase activity.”
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    Interpretationcitation

    The linear deleted mtDNA fragments are surmised to arise from stalled replication due to Pol γ exonuclease deficiency and do not contribute to the progeroid phenotype.

    “Therefore, these fragments are surmised to arise from stalled replication due to Pol γ exonuclease deficiency and do not contribute to the progeroid phenotype (Kukat and Trifunovic, 2009).”
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    Premisecitation

    A heterozygous mutation in Pol γ that substituted a tyrosine with cysteine at codon 955 (Y955C) was first identified as a disease locus for adPEO while three more missense mutations were associated with arPEO.

    “In 2001, a heterozygous mutation in Pol γ that substituted a tyrosine with cysteine at codon 955 (Y955C) was first identified as a disease locus for adPEO while three more missense mutations were associated with arPEO (Van Goethem et al., 2001).”
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    Premisecitation

    Two sisters with early-onset PD, peripheral neuropathy and without PEO had a 37% decrease in mtDNA content with multiple deletions and were found to be compound heterozygous for two missense mutations (G737R and R853W) in Pol γ.

    “Two sisters with early-onset PD, peripheral neuropathy and without PEO had a 37% decrease in mtDNA content with multiple deletions and were found to be compound heterozygous for two missense mutations (G737R and R853W) in Pol γ (Davidzon et al., 2006).”
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    Premisecitation

    The Y955C mutation has a wild-type catalytic rate, but a 45-fold decrease in binding affinity for the incoming dNTP.

    “The Y955C mutation has a wild-type catalytic rate, but a 45-fold decrease in binding affinity for the incoming dNTP.”
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    • cites Ponamarev et al., 2002 source

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    Premisenone given

    Patients with arPEO have the same clinical features as with adPEO, but with greater variation in symptoms and time of onset.

    “Patients with arPEO have the same clinical features as with adPEO, but with greater variation in symptoms and time of onset.”
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    Premisecitation

    Edgar et al. (2009) reported frequent point mutations in ETC genes in homozygous mtDNA mutator mice, while heterozygous mice were not examined.

    “Edgar et al. (2009) reported frequent point mutations in ETC genes in homozygous mtDNA mutator mice, while heterozygous mice were not examined.”
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    Premisenone given

    Some diseases associated with POLG mutations manifest in adulthood and include symptoms of aging, namely autosomal dominant and recessive forms of Progressive External Ophthalmoplegia (adPEO/arPEO) and Parkinson's disease.

    “Some associated diseases manifest in adulthood and include symptoms of aging, namely autosomal dominant and recessive forms of Progressive External Ophthalmoplegia (adPEO/arPEO) and Parkinson’s disease.”
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    Interpretationreasoning

    Twinkle provides cardioprotection and could be a potential therapy for heart failure patients.

    “This suggests Twinkle provides cardioprotection and could be a potential therapy for heart failure patients.”
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    Premisecitation

    A complete POLG2 knock-out is embryonic lethal in mice, but the heterozygous knockout (+/−) mouse has a normal phenotype.

    “A complete POLG2 knock-out is embryonic lethal in mice, but the heterozygous knockout (+/−) mouse has a normal phenotype (Humble et al., 2013).”
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    Premisecitation

    Twinkle is essential for mtDNA maintenance and copy number.

    “Twinkle is essential for mtDNA maintenance and copy number (Tyynismaa et al., 2004).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Tyynismaa et al., 2004 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Knockdown of porcine oocyte PolG2 causes an aging-like phenotype as evidenced by decreased production of ATP and maturation promoting factor (MPF), reducing the fraction of oocytes that reach MII stage.

    “Knockdown of porcine oocyte PolG2 causes an aging-like phenotype as evidenced by decreased production of ATP and maturation promoting factor (MPF), reducing the fraction of oocytes that reach MII stage (Lee et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lee et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Homodimeric mutants have problems stimulating PolG processivity, with G451E being more severely defective than R396G.

    “Homodimeric mutants have problems stimulating PolG processivity, with G451E being more severely defective than R396G (Craig et al., 2012; Longley et al., 2006; Young et al., 2011).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Craig et al., 2012 source

      Not checked in the free run.

    • cites Longley et al., 2006 source

      Not checked in the free run.

    • cites Young et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The N-terminal domain of Twinkle is important for ssDNA binding and stimulation of the C-terminal helicase activity.

    “The N-terminal domain is important for ssDNA binding and stimulation of the C-terminal helicase activity (Farge et al., 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Farge et al., 2007 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Twinkle was classified as a helicase based on sequence similarity to bacteriophage T7 gene 4 primase-helicase (T7 gp4).

    “It was classified as a helicase based on sequence similarity to bacteriophage T7 gene 4 primase-helicase (T7 gp4) (Spelbrink et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Spelbrink et al., 2001 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    MGME1 has a role in mtDNA replication, likely providing 5′ → 3′ exonuclease activity.

    “MGME1 interacts directly with PolG suggesting a role in mtDNA replication, likely providing 5′ → 3′ exonuclease activity (Nicholls et al., 2014).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Nicholls et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    G451E homodimers fail to enhance binding of PolG to DNA, while R369G has weaker binding to PolG.

    “G451E homodimers also fail to enhance binding of PolG to DNA, while R369G has weaker binding to PolG.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Craig et al., 2012 source

      Not checked in the free run.

    • cites Longley et al., 2006 source

      Not checked in the free run.

    • cites Young et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Helicase activity along with strand annealing activity of Twinkle has been confirmed, but no primase activity has been detected to date.

    “Helicase activity along with strand annealing activity has been confirmed (Sen et al., 2012), but no primase activity has been detected to date.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sen et al., 2012 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Twinkle has two domains, a primase-like N-terminal domain and a C-terminal helicase domain.

    “Twinkle has two domains, a primase-like N-terminal domain and a C-terminal helicase domain (Shutt and Gray, 2006).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Shutt and Gray, 2006

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Twinkle is a 72 kDA hexamer/heptamer that functions as a 5′ → 3′ helicase for mtDNA replication.

    “Twinkle is a 72 kDA hexamer/heptamer that functions as a 5′ → 3′ helicase for mtDNA replication (Korhonen et al., 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Korhonen et al., 2003 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Twinkle is involved in D-loop formation and localizes to the nucleoid.

    “It is involved in D-loop formation and localizes to the nucleoid (Jemt et al., 2015; Milenkovic et al., 2013; Spelbrink et al., 2001).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Jemt et al., 2015 source

      Not checked in the free run.

    • cites Milenkovic et al., 2013 source

      Not checked in the free run.

    • cites Spelbrink et al., 2001 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In adult human hearts, mtDNA has been shown to exist as dimers and is organized into highly complex, branched molecules.

    “In adult human hearts however, mtDNA has been shown to exist as dimers and is organized into highly complex, branched molecules (Pohjoismaki et al., 2009).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Pohjoismaki et al., 2009 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Knockdown of RNase H1 in human bone osteosarcoma cells (143B TK-) led to lower mtDNA copy number and complete stalling of replication.

    “Knockdown of RNase H1 in human bone osteosarcoma cells (143B TK-) led to lower mtDNA copy number and complete stalling of replication (Ruhanen et al., 2011), suggesting RNase H1 is vital for mtDNA replication.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ruhanen et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    31 dominant and 3 recessive Twinkle mutations have been recognized, the majority of which cause age-related disease.

    “In all, 31 dominant and 3 recessive mutations have been recognized, the majority of which cause age-related disease (Sanchez-Martinez et al., 2012; Spelbrink et al., 2001).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Sanchez-Martinez et al., 2012 source

      Not checked in the free run.

    • cites Spelbrink et al., 2001 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Depletion of any one of Mfn1, Mfn2 or OPA1 results in severe dysfunction in respiratory capacity and fragmentation of mitochondria.

    “Depletion of any of one these proteins results in severe dysfunction in respiratory capacity and fragmentation of mitochondria (Chen et al., 2005; Chen et al., 2010; Song et al., 2009)”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Chen et al., 2005

      Not checked in the free run.

    • cites Chen et al., 2010 source

      Not checked in the free run.

    • cites Song et al., 2009 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Overexpression of adPEO Twinkle mutations in HEK293 cells causes an accumulation of replication intermediates, suggesting these mutations trigger replication stalling.

    “Overexpression of adPEO Twinkle mutations in HEK293 cells cause an accumulation of replication intermediates suggesting that these mutations are triggering replication stalling (Goffart et al., 2009; Wanrooij et al., 2007).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Goffart et al., 2009 source

      Not checked in the free run.

    • cites Wanrooij et al., 2007 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Caloric restriction decreases ROS production in rodents, particularly at Complex I, thereby preventing oxidative damage in mitochondria from heart, liver, skeletal muscle and brain.

    “Originally, it was shown that CR decreases ROS production in rodents, particularly at Complex I, thereby preventing oxidative damage in mitochondria from heart (Gredilla et al., 2002), liver (Lopez-Torres et al., 2002), skeletal muscle (Lass et al., 1998) and brain (Sanz et al., 2005).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Gredilla et al., 2002 source

      Not checked in the free run.

    • cites Lopez-Torres et al., 2002 source

      Not checked in the free run.

    • cites Sanz et al., 2005 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Although oxidative capacity is improved by exercise, there are no changes in the mtDNA mutation load.

    “However, others have reported that although oxidative capacity is improved, there are no changes in the mtDNA mutation load (Jeppesen et al., 2009; Taivassalo et al., 2006).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Jeppesen et al., 2009 source

      Not checked in the free run.

    • cites Taivassalo et al., 2006 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Resistance training in a patient with the G12315A tRNAleu(CUN) point mutation significantly improved heteroplasmic ratios and increased the number of respiratory-competent fibers in muscle fibers.

    “This activation is accomplished with either eccentric or concentric resistance exercise, as shown in a patient with the G12315A tRNAleu(CUN) point mutation, where resistance training significantly improved heteroplasmic ratios and increased the number of respiratory-competent fibers in muscle fibers (Taivassalo et al., 1999).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Taivassalo et al., 1999 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Caloric restriction induces mitochondrial biogenesis and increases respiration through activation of SIRT1 and its downstream induction of PGC-1α.

    “For example, CR induces mitochondrial biogenesis and increases respiration through activation of sirtuin 1 (SIRT1), an NAD+-dependent histone deacetylase, and its downstream induction of PGC-1α (Chistiakov et al., 2014; Martin-Montalvo and de Cabo, 2013).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Chistiakov et al., 2014 source

      Not checked in the free run.

    • cites Martin-Montalvo and de Cabo, 2013

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Fusion and fission are opposing actions that work together to maintain the number, size, shape and function of mitochondria.

    “Fusion and fission are opposing actions that work together to maintain the number, size, shape and function of mitochondria (Chan, 2012).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Chan, 2012 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Insufficient mitophagy and autophagy contribute to the accumulation of mutant mtDNA and are a factor in aging and age-related diseases.

    “As with the fission and fusion processes, insufficient mitophagy and autophagy contribute to the accumulation of mutant mtDNA and are a factor in aging and age-related diseases (Gaziev et al., 2014; Green et al., 2011; Hubbard et al., 2012; Rubinsztein et al., 2011).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Gaziev et al., 2014 source

      Not checked in the free run.

    • cites Green et al., 2011 source

      Not checked in the free run.

    • cites Rubinsztein et al., 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Caloric restriction extends both medium and maximum lifespan and delays the onset of age-related diseases in yeast, C. elegans, rodents and Rhesus monkeys.

    “CR has been shown to extend both medium and maximum lifespan and delay the onset of age-related diseases in a variety of species, including yeast (Kaeberlein et al., 2007), C. elegans (Lee et al., 2006), rodents (Masoro, 2009) and Rhesus monkeys (Colman et al., 2014).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Kaeberlein et al., 2007 source

      Not checked in the free run.

    • cites Lee et al., 2006 source

      Not checked in the free run.

    • cites Colman et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    For all targeted cell types, TFAM depletion leads to mtDNA depletion, mitochondrial transcript depletion and respiratory chain deficiency, except not reported for midbrain DA neurons.

    “For all the targeted cell types, TFAM depletion leads to mtDNA depletion (not reported for midbrain DA neurons), mitochondrial transcript depletion (not reported for midbrain DA neurons) and respiratory chain deficiency, suggesting that TFAM is essential for mtDNA maintenance in vivo”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Ekstrand et al., 2007 source

      Not checked in the free run.

    • cites Li et al., 2000

      Not checked in the free run.

    • cites Wredenberg et al., 2002 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Interpretationnone given

    Aging is a multifactorial, progressive, biological process with mitochondria playing a central role.

    “Aging is a multifactorial, progressive, biological process with mitochondria playing a central role.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    The MFRTA has lost favor because its fundamental notion of a "vicious" cycle of ROS generating ETC disruption, and hence more ROS, is based on anecdotal evidence.

    “The MFRTA, once at the forefront of aging theory, has lost favor since its fundamental notion of a “vicious” cycle of ROS generating ETC disruption, and hence more ROS, is based on anecdotal evidence.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Using Digital Deletion Detection (3D), Taylor et al. report that although the total deletion load increases in human brain with aging, the number and diversity of deletions remains constant.

    “Using Digital Deletion Detection (3D), a newer technology that allows for the study of rare, low occurring mtDNA deletions, Taylor et al. (2014) report that although the total deletion load increases in human brain with aging, the number and diversity of deletions remains constant.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Taylor et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Crossing mice overexpressing TFAM with mito-mice leads to an overall increase in mtDNA content and copy number without a decrease in the amount of deleted mtDNA.

    “Another mouse model system crossed mice overexpressing TFAM with the mito-mice that have mutant mtDNA carrying a deletion of 4696 bp leading to an overall increase in mtDNA content and copy number without a decrease in the amount of deleted mtDNA (Nishiyama et al., 2010).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Nishiyama et al., 2010 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The deletor mouse phenotypes can be attenuated with bezafibrate, but this treatment causes severe hepatic side effects.

    “The deletor mouse phenotypes can be attenuated with a lipid-lowering agent, such as bezafibrate, however this treatment causes severe hepatic side effects (Yatsuga and Suomalainen, 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Yatsuga and Suomalainen, 2012

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    TFAM overexpression in rat pancreatic islet cells normalized Nd1 mRNA levels and restored glucose-induced ATP generation along with insulin secretion.

    “TFAM overexpression in rat pancreatic islet cells normalized Nd1 mRNA levels and restored glucose-induced ATP generation along with insulin secretion (Gauthier et al., 2009).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Gauthier et al., 2009 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    TFAM deletion in mouse pyramidal neurons causes mitochondrial late-onset neurodegeneration (MILON), whereas deletion in mouse midbrain DA neurons leads to PD.

    “TFAM deletion in mouse pyramidal neurons causes mitochondrial late-onset neurodegeneration (MILON) (Sorensen et al., 2001) whereas deletion in mouse midbrain DA neurons leads to PD (Ekstrand et al., 2007).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Sorensen et al., 2001 source

      Not checked in the free run.

    • cites Ekstrand et al., 2007 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The Twinkle overexpression mouse attenuates VO-induced eccentric hypertrophy and improves cardiac function while suppressing production of mitochondrial ROS and subsequent redox-sensitive signals.

    “This mouse attenuates VO-induced eccentric hypertrophy and improves cardiac function while suppressing the production of mitochondrial ROS and subsequent redox-sensitive signals (Ikeda et al., 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ikeda et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    High levels of ROS contribute to the aging phenotype through oxidative damage to cellular components, such as proteins and lipids.

    “This does not imply that high levels of ROS do not contribute to the aging phenotype through oxidative damage to cellular components, such as proteins and lipids.”
    Quote in the paperNot a substantial claim
78 of 78
  • The paper relies on this without support.

    The mtDNA mutator mouse progeroid phenotype is a valid model of mammalian aging.

    “However, the first strong experimental evidence demonstrating a causal relationship between aging and the accumulation of mtDNA mutations/deletions secondary to an exonuclease-deficient Pol γ was obtained with the creation of the mtDNA mutator mouse.”
  • The paper relies on this without support.

    MtDNA typically exists as monomeric double-stranded, covalently closed circles.

    “MtDNA typically exists as monomeric double-stranded, covalently closed circles.”
  • The paper relies on this without support.

    The theory of mitohormesis states that low levels of ROS are important signaling molecules that regulate stress response pathways and enhance longevity.

    “The theory of mitohormesis states that low levels of ROS are important signaling molecules that regulate stress response pathways and enhance longevity.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Oxidation of EF-Tu could lead to altered function and incorrect translation of mitochondrial proteins, which include 13 components of the electron transport chain.

    “The oxidation of EF-Tu could lead to altered function and the incorrect translation of mitochondrial proteins, which include 13 components of the electron transport chain [78].”

    From Mitochondrial Oxidative and Nitrosative Stress and Alzheimer Disease (2020) · cites this paper as [78]

    Section 2, “Mitochondrial biology and genetics” (page unavailable), states that mitochondrial DNA encodes 13 protein subunits of electron transport chain complexes. The paper does not address EF-Tu oxidation or its proposed effect on mitochondrial protein translation (searched: EF-Tu, oxidation, and translation elongation factor). (LLM, conf=0.88)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • POLG2 mutation identifier changes from R369G to R396G

    Minor

    The POLG2 section identifies R369G as the PEO-linked variant and discusses its binding and heterodimer behavior, but calls it R396G when comparing mutant processivity.

  • Exercise study is described as involving rats but cited as human

    Minor

    The text attributes a post-exercise mitofusin result in rats to Cartoni et al. (2005), while its reference title identifies the study as being in human skeletal muscle.

2 of 2

Cites

3 retracted

Flagged first, then by citations

3 of the 276 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
DeBalsi, K. L., Hoff, K. E., & Copeland, W. C.
Affiliations
National Institutes of Health (US)
Corresponding author
Copeland, William C.
Venue
Ageing Research Reviews
Publisher
Elsevier BV
Published
2017-01
Volume
33
Pages
89-104
ISSN
1568-1637 (ISSN-L)
OpenAlex
W2344148285
Cited by
180
References
276
Citations by year
2026: 8 · 2025: 11 · 2024: 15 · 2023: 13 · 2022: 24 · 2021: 31 · 2020: 29 · 2019: 14 · 2018: 18 · 2017: 14 · 2016: 2 · 2014: 1
FWCI
1.44
Type
journal article
Language
en
Open access
Locations
  • Ageing Research Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Environmental Health Sciences (Z01ES065078)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
Keywords
mitochondrial DNA replication, mitochondrial dysfunction, aging, age-related diseases, reactive oxygen species, clonal expansion, mitochondrial dynamics, electron transport chain, cellular respiration
MeSH terms
Aging, DNA Replication, DNA, Mitochondrial, Humans, Mitochondria, Mutation, Mutagenesis, Reactive Oxygen Species, Genes, Mitochondrial

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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